Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Medicine Lodge Counseling PLLC

Organization Professional Counselor · NPI 1619465788

Medicine Lodge Counseling PLLC is a Professional Counselor in Missoula, Montana. Licensed in Montana. Registered with an NPI since 2018.

Licensed in
MT
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2809 Great Northern Loop Ste 210-5
Missoula, MT 59808-1749
Phone: (406) 360-8470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4654 (MT)

Record details

NPI number1619465788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Wilson — Clinical Mental Health Counselor · (406) 360-8470
NPI enumeratedApril 24, 2018
Last updated in NPPESJune 16, 2018
Mailing address14098 Jenny Ann Ct Unit A, Missoula, MT 59808-5386

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